Surgery for lung cancer: insight from a state cancer centre in India

Indian J Thorac Cardiovasc Surg. 2024 Jan;40(1):50-57. doi: 10.1007/s12055-023-01590-9. Epub 2023 Sep 4.

Abstract

Purpose: Lung cancer is one of the most common cancers in India. However, less than half receive treatment with a curative intent and very few undergo surgery amongst them. We present our surgical experience with non-small cell lung cancer.

Methods: A retrospective analysis of a cohort of 92 non-small cell lung cancer patients operated with curative intent.

Results: Less than 2% patients of lung cancer were operated on at our centre. Adenocarcinoma was the most common histological subtype. Right upper lobectomy was the most common surgery performed. Two- and 3-year overall survival was 74.3% and 70.6% respectively. Two- and 3- year disease-free survival was 65.4% and 60.8% respectively.

Conclusion: The fraction of patients who are operated for lung cancer is very less. There is a definite missed window of opportunity. We have comparable survival to international data.

Keywords: Lung cancer; Non-small cell lung cancer (NSCLC); Thoracic surgery.